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Last year, I nursed my baby while I was taking PaxilCR. No matter what herbals I used, how often I nursed/pumped, or how many lactation consultants I spoke with, I never produced enough milk. My son was very underweight, so I supplemented with formula whenever I absolutly had to, but I tried only giving breastmilk for 3-5 days, unless he began to lose weight. Well, I am in the process of weaning off paxil, and if all goes well, we plan to conceive again in 2007. I would really love to breastfeed again, but the constant weight checks, and the feeling that something is wrong with me,is not something I choose to do again. Has anyone here taken Paxil, or a similar drug, and could not produce enough breastmilk? Any suggestions? I have read about taking metroclopimide (Reglan), to increase supply, but the side effects of depression are too scary for me. Any suggestions would be helpful.

2006-11-18 11:56:49 · 6 answers · asked by Anonymous in Pregnancy & Parenting Newborn & Baby

6 answers

There are VERY few doctors out there who know much about the effects of medications on pregnant and breastfeeding mothers. Dr. Thomas Hale is the preminant researcher for breastfeeding and medications. He publishes a book (revises every couple of years) called "Medications and Mother's Milk". This is not a book you want to buy or read. :-) But see if your library has a copy or can get one for you. In it, Dr. Hale details information about things like milk transfer rates and possible side effects of drugs on a nursing baby.

Zoloft is currently the SSRI of choice for nursing mothers. I personally used it for about a year, from the time my son was about 4 months old. I never noticed any ill effects from the drug, but he had gotten through the crucial period by the time I started it. Obviously, if there are going to be any effects from the medication, they will happen when the baby is littlest.

However, you should know that Paxil is also a good choice for nursing moms (#2 on Hale's list), and in 3 studies of 8,16, and 24 infants, only one baby showed any Paxil in their system. You may have had lower milk supply for other reasons. I would suggest gathering as much information as possible about different drug choices and talking with a knowledgable lactation consultant, as well as your doctor and your psychiatrist. Then read as much as you can about establishing a strong milk supply and maintaining that supply. Good luck!

2006-11-20 04:48:18 · answer #1 · answered by nova147_01 4 · 0 0

Important information

You should not use Paxil if you are also taking pimozide or thioridazine, or if you are being treated with methylene blue injection. Do not start or stop taking this medicine during pregnancy without your doctor's advice.
Do not use Paxil if you have used an MAO inhibitor in the past 14 days, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, or tranylcypromine.
Some young people have thoughts about suicide when first taking an antidepressant. Stay alert to changes in your mood or symptoms. Report any new or worsening symptoms to your doctor.
Do not give Paxil to anyone younger than 18 years old without the advice of a doctor. Paroxetine is not approved for use in children.


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2016-05-31 02:25:35 · answer #2 · answered by Anonymous · 0 0

paxil and zoloft are the two most studied in safety and tolerability in breast feeding. Zoloft is the probably the better choice. Paxil has a serious withdrawal syndrome and has to tapered off very slowly. I have never seen anything to suggest that SSRI's of which paxil is one is implicated in a decrease in breast milk production. You should probably attend a breast feeding class and use a trained breast feeding specialist during the process to help guide you on correct technique. Maximum breast milk production doesnt begin for about one week post partum and there are all kinds of issues about how the baby sucks and latches on etc. You can contact the international La Leche society for additional information. They shoould be listed on the internet. Good luck.

2006-11-18 12:18:36 · answer #3 · answered by el cabo 2 · 1 0

I've never actually heard of Paxil affecting supply. You might talk to your doctor about taking Zoloft instead postpartum. This is the first choice drug of Dr. Hale (*THE* expert on drugs and BFing).

2006-11-18 12:04:00 · answer #4 · answered by momma2mingbu 7 · 0 1

I know that there are plenty of mom's on here, but I'd say the pharmacist or a physician who specializes in this area would be way better talk to and safer than on here.

2006-11-18 11:59:25 · answer #5 · answered by jay-z8900 2 · 0 0

Remember what ever you put in your mouth the baby that nurses is getting the same thing.

2006-11-18 12:05:26 · answer #6 · answered by Granny 1 7 · 0 1

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